Sebastian Balestriere, ATC
Individual provider Active NPI Athletic Trainer · Pitman, NJ
NPI 1740600303 · NPPES record last updated Apr 22, 2014
Key facts
- NPI
- 1740600303
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 25MT00041200 (NJ)
- Practice address
- 614 Lambs Rd
Pitman, NJ 08071-2000 - Phone
- (856) 248-7191
- NPI assigned
- Apr 22, 2014
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MT00041200 | NJ | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 25MT00041200 | NJ | Yes |
Addresses
Primary practice location
614 Lambs Rd
Pitman, NJ 08071-2000
Mailing address
614 Lambs Rd
Pitman, NJ 08071-2000
Phone (856) 248-7191
Other providers in Pitman, NJ
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- Glenda Jean Barachko
- Melissa Barton
- Bee Well Counseling, Diane Gruszewski
- Bitt Nutrition
- Christina Michel Bittner
All providers in Pitman, NJ · Athletic Trainer in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.